Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Pain Management Practice in Pediatric Nurses

아동간호사의 통증관리 수행에 영향을 미치는 요인

  • 허숙자 (조선대학교 병원) ;
  • 김진선 (조선대학교 의과대학 간호학과) ;
  • 김현례 (조선대학교 의과대학 간호학과)
  • Received : 2016.08.16
  • Accepted : 2016.09.24
  • Published : 2016.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purposes of this study were to explore knowledge, barriers, and self-efficacy in relation to pain management practice, and to identify factors influencing pain management practice in pediatric nurses. Methods: A descriptive correlational study was conducted. The participants were 237 pediatric nurses from a metropolitan city. Data were analyzed using t-test or analysis of variance and Pearson correlation and multiple regression analyses. Results: The mean percentage of correct answers on the children's pain management knowledge scale was 58.8%. Child and parent related factors were the main barriers for pain management. Self-efficacy to assess children's pain across developmental stages was particularly low. Pain management practices for assessing pain and non-pharmacological interventions were relatively low. Factors significantly affecting children's pain management practice were current conditions of work department and self-efficacy in pain management, and these factors accounted for 37.5% of the variance in pain management practice. Conclusion: The results suggest that an integrative education program needs to be developed to improve self-efficacy in children's pain management practice. Moreover, good communication, building cooperative relationships with children and parents, and a more active role by pediatric nurses are required to carry out more effective pain management.

Keywords

References

  1. Buscemi N, Vandermeer B, Curtis S. The Cochrane library and procedural pain in children: An overview of reviews. Evidence-Based Child Health: A Cochrane Review Journal. 2008;3(2):260-279. http://dx.doi. org/10.1002/ebch.225
  2. Petovello K. Pediatric procedural pain management: A review of the literature. International Journal of Child, Youth and Family Studies. 2012;3(4.1):569-589. http://dx.doi.org/10.18357/ijcyfs34.1201211563
  3. Young KD. Pediatric procedural pain. Annals of Emergency Medicine. 2005;45(2):160-171. http://dx.doi.org/10.1016/j.annemergmed.2004.09.019
  4. Czarnecki ML, Simon K, Thompson JJ, Armus CL, Hanson TC, Berg KA, et al. Barriers to pediatric pain management: A nursing perspective. Pain Management Nursing. 2011;12(3):154-162. http://dx.doi. org/10.1016/j.pmn.2010.07.001
  5. Manworren RC. It's time to relieve children's pain. Journal for Specialists in Pediatric Nursing. 2007;12(3):196-198. http://dx.doi.org/10.1111/ j.1744-6155.2007.00112.x
  6. Maccagno L. Pain control in children: Are nurses doing enough?. Nursing New Zealand. 2009;15(6):16-18.
  7. Cramton REM, Gruchala NE. Managing procedural pain in pediatric patients. Current Opinion in Pediatrics. 2012;24(4):530-538. http:// dx.doi.org/10.1097/MOP.0b013e328355b2c5
  8. Twycross A. Managing pain in children: Where to from here? Journal of Clinical Nursing. 2010;19:2090-2099. http://dx.doi.org/10.1111/ j.1365-2702.2010.03271.x
  9. Shin HS, Kim DH. Nurses' knowledge and attitude to pain management in children. Child Health Nursing Research. 2003;9(2):140-148.
  10. Van Hulle Vincent C. Nurses' knowledge, attitudes, and practices regarding children's pain. American Journal of Maternal Child Nursing. 2005;30(3):177-183. http://dx.doi.org/10.1097/00005721-200505000- 00005
  11. Trudeau JD, Lamb E, Gowans M, Lauder G. A prospective audit of postoperative pain control in pediatric patients. Association of Perioperative Registered Nurses Journal. 2009;90(4):531-542. http://dx.doi. org/10.1016/j.aorn.2009.05.001
  12. He HG, Vehvilainen-Julkunen K, Pietila AM, Polkki T. Increasing nurses' knowledge and behavior changes in nonpharmacological pain management for children in China. Journal of Nursing Care Quality. 2008; 23(2):170-176. http://dx.doi.org/10.1097/01.NCQ.0000313767.09891.0a
  13. Lee BS, Kwon IS. Effects of distraction using operating doll on preschool children’s pain during an IV catheter insertion. Child Health Nursing Research. 2005;11(4):490-497.
  14. Simons JM, MacDonald LM. Pain assessment tools: Children's nurses' views. Journal of Child Health Care. 2004;8(4):264-278. http://dx.doi.org/10.1177/1367493504047317
  15. Twycross A, Collins S. Nurses' views about the barriers and facilitators to effective management of pediatric pain. Pain Management Nursing. 2013;14(4):164-172. http://dx.doi.org/10.1016/j.pmn.2011.10.007
  16. Chiang LC, Chen HJ, Huang L. Student nurses' knowledge, attitudes, and self-efficacy of children's pain management: Evaluation of an education program in Taiwan. Journal of Pain and Symptom Management. 2006;32(1):82-89. http://dx.doi.org/10.1016/j.jpainsymman.2006.01.011
  17. Stanley M, Pollard D. Relationship between knowledge, attitudes, and self-efficacy of nurses in the management of pediatric pain. Pediatric Nursing. 2013;39(4):165-171.
  18. Kim BH. Pain management knowledge and practices among pediatric nurses [master's thesis]. Seoul: Yonsei University; 2009. p.1-79.
  19. Kim EJ. A study on pain management knowledge, nursing intervention for pain and barriers of pain care of NICU 1. nurses [master's thesis]. Jinju: Gyeongsang university; 2004. p.1-74.
  20. Noh IS, Oh JO. Factors influencing neonate pain management performed by nurses. Child Health Nursing Research. 2011;17(3):190-197. http://dx.doi.org/10.4094/jkachn.2011.17.3.190
  21. Manworren R. Development and testing of the pediatric nurses’ knowledge and attitudes survey regarding pain. Pediatric Nursing. 2001;27(2):151-158.
  22. Van Hulle Vincent C, Denyes MJ. Relieving children's pain: Nurses' abilities and analgesic administration practices. Journal of Pediatric Nursing. 2004;19(1):40-50. http://dx.doi.org/10.1016/j.pedn.2003.09.006
  23. Pederson C, Bjerke T. Pediatric pain management; A research-based clinical pathway. Dimensions of Critical Care Nursing. 1999;18(3):42-51. https://doi.org/10.1097/00003465-199905000-00008
  24. Choi SI, Choi MA. A study on the knowledge related to children's pain of pediatric nurses according to their career. The Journal of Korean Biological Nursing Science. 2005;7(1): 69-87.
  25. Bernardi M, Catania G, Lambert A, Tridello G, Luzzani M. Knowledge and attitudes about cancer pain management: A national survey of Italian oncology nurses. European Journal of Oncology Nursing. 2007);11(3):272-279. http://dx.doi.org/10.1016/j.ejon.2006.09.003
  26. Gimbler-Berglund I, Ljusegren G, Ensker K. Factors influencing pain management in children. Paediatric Nursing. 2008;20(10):21-24.
  27. Yoo HR. Relationship among the knowledge, self-efficacy and nursing practices of nurses in the management of pediatric pain [master's thesis]. Seoul: Seoul National University; 2015. p.1-94.
  28. Twycross A, Finley GA, Latimer M. Pediatric nurses' postoperative pain management practices: An observational study. Journal for Specialists in Pediatric Nursing. 2013;18(3):189-201. http://dx.doi.org/10.1111/jspn.12026
  29. Keels E, Sethna N, Watterberg KL, Cummings JJ, Benitz WE, Eichenwald E, et al. Prevention and management of procedural pain in the neonate: An Update. Pediatrics. 2016;137(2):1-13. http://dx.doi. org/10.1542/peds.2015-4271
  30. Han JY, Park HS, Jin MJ. Nurses' knowledge and performance of pain management at a general hospital. Journal of Korean Academy of Fundamentals of Nursing. 2016;23(1):6-11. http://dx.doi.org/10.7739/ jkafn.2016.23.1.6

Cited by

  1. 신생아중환자실 간호사의 통증간호중재에 영향을 미치는 요인 vol.23, pp.2, 2016, https://doi.org/10.4094/chnr.2017.23.2.179
  2. 입원 아동 대상 통증 완화 중재에 대한 통합적 고찰 vol.26, pp.2, 2020, https://doi.org/10.4094/chnr.2020.26.2.254